Ronald Craig Skidmore in Grand Rapids - Addiction (substance Use Disorder)

Ronald Craig Skidmore - NPI 1881811941

Ronald Craig Skidmore is a Addiction (substance Use Disorder) in Grand Rapids, Michigan. Ronald Craig Skidmore practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Ronald Craig Skidmore is 1881811941. The last update date is 2007-07-08.

Ronald Craig Skidmore's current location address is 1514 Wealthy St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164513008 and fax number 6164513070. The mailing address for Ronald Craig Skidmore is 1514 Wealthy St Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Ronald Craig Skidmore
Address 1514 Wealthy St Se, Grand Rapids, Michigan
Phone Number 6164513008
Fax Number 6164513070
Sole Proprietor N
Credentials MA, MA, MD

NPI Number Detail

NPI Number 1881811941
Provider Enumeration Date 2007-04-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1514 Wealthy St Se
City Grand Rapids
State Michigan (MI)
Post Code 495062755
Phone Number 6164513008
Fax Number 6164513070

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 6401010233
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Ronald Craig Skidmore

What is the Ronald Craig Skidmore's 1881811941?

The Ronald Craig Skidmore's NPI (National Provider Identifier) Number is 1881811941. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Ronald Craig Skidmore is physically located?

The Ronald Craig Skidmore is situated at the following address: 1514 Wealthy St Se, Grand Rapids, MI 495062755.

What is Ronald Craig Skidmore's specialized field of practice, and what is the corresponding taxonomy classification code?

The Ronald Craig Skidmore's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.

On what date was the 1881811941 assigned to Ronald Craig Skidmore?

The Ronald Craig Skidmore was issued its 1881811941 on 2007-04-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Ronald Craig Skidmore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Ronald Craig Skidmore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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